Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benjain Patrick Dickerson

Individual provider Professional Counselor · NPI 1376417469

Benjain Patrick Dickerson is a Professional Counselor in Glendale, Arizona. Practices as a sole proprietor and works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2025

Practice location Address checks out

21448 N 75th Ave Ste 6
Glendale, AZ 85308-5978
Phone: (602) 697-5485
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8700 E Vista Bonita Dr Ste 236, Scottsdale, AZ 85255-3202 — (602) 697-5485

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LAC-22436 (AZ)

Record details

NPI number1376417469
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 1, 2025
Last updated in NPPESOctober 1, 2025
Certification dateOctober 1, 2025
Mailing address211 E Mail Trail Rd, Young, AZ 85554-0689

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